| NPI | 1780960724 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PATRICIA LIGGETT Office Manager 678-210-1166 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: GA 033610 GA) |
| Enumeration Date | 2011-10-21 |
| Last Update Date | 2011-10-21 |